Emergency visit, highest (level 5) at Grand Itasca Clinic and Hospital. CPT 99285.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$747cash price (self-pay)
$1,769list price
$118–$1,790range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | PMAP | $205 |
| Medica | Managed Medicaid | $263 |
| Medica | AccessAbility | $286 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $510 |
| Blue Cross of Minnesota | Aware Federal | $541 |
| Blue Cross of Minnesota | Aware/Blue Plus | $551 |
| Itasca Medical Care | Managed Medicaid | $572 |
| Primewest | Managed Medicaid | $572 |
| Itasca Medical Care | Medicare Advantage/MSHO | $617 |
| Primewest | MSHO | $617 |
| Sanford Health Plan | Medicare Advantage | $617 |
| Security Health Plan | Medicare Advantage | $617 |
| UCare | Medicare Advantage/MSHO | $617 |
| United Healthcare | Medicare Advantage | $617 |
| WellCare | Medicare Advantage | $617 |
| Blue Cross of Minnesota | Medicare Advantage | $642 |
| Health Partners | Medicare Advantage | $654 |
| Medica | Medicare Advantage Non-SNP | $654 |
| UCare | PMAP | $658 |
| Medica | Commercial | $770 |
| Health Partners | Medicare Cost | $921 |
| Health Partners | PMAP | $938 |
| Sanford Health Plan | Commercial | $1,042 |
| United Healthcare | Commercial | $1,156 |
| UCare | Individual and Family Plans | $1,211 |
| Security Health Plan | Commercial | $1,327 |
| First Health | Commercial | $1,450 |
| Health Partners | Federal | $1,457 |
| Health Partners | Commercial | $1,483 |
| MultiPlan | Commercial | $1,503 |
Inpatient
$747cash price (self-pay)
$1,769list price
$799–$1,763range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $805 |
| Health Partners | PMAP | $819 |
| Sanford Health Plan | Commercial | $1,042 |
| Security Health Plan | Commercial | $1,327 |
| Health Partners | Federal | $1,383 |
| Health Partners | Commercial | $1,408 |
| United Healthcare | Commercial | $1,421 |
| First Health | Commercial | $1,450 |
| Medica | Commercial | $1,472 |
| Health Partners | Cigna Commercial | $1,478 |
| MultiPlan | Commercial | $1,503 |
| Private Healthcare Systems | Commercial | $1,503 |
| Wisconsin Physician Services | Commercial | $1,592 |
| America's PPO | Commercial/EZCare/Health EZ | $1,627 |
| Health Partners | Cigna Great West | $1,760 |
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